title: Generalized peritonitis requiring re-operation after leakage of omental patch repair of perforated peptic ulcer.
abstract: OBJECTIVE
  Peptic ulcer perforations are a common emergency, but available literature is silent on the exact definition, incidence, management, and complications of peritonitis due to omental patch leakage.
  
  
  METHODS
  Retrospective data were collected on 422 patients who underwent omental patch repair of perforated peptic ulcer between March 20, 1999 and March 20, 2006. The definitive diagnosis of perforated peptic ulcer and omental patch leakage was obtained at surgery.
  
  
  RESULTS
  Seventeen (4%) patients experienced generalized peritonitis due to omental patch leakage. Mean age was 60.6 years. Mortality rate was 29.4%, and the mean hospital stay was 23.6 days. Delay in surgical approach, shock on admission, and age were all significantly associated with increased mortality.
  
  
  CONCLUSIONS
  Peritonitis due to omental patch leakage can result in significant morbidity and mortality. The most common causes of omental patch leakage and operative procedures were unknown and reinsertion of omentum, respectively. Factors such as shock on admission or delayed surgery, have significantly contributed to fatal outcomes and need careful attention.
authors.affiliation: Department of Surgery, Faculty of Medicine, University of Medical Sciences of Tabriz, Iran. maghsoudih@yahoo.com
authors.forename: Hemmat
authors.initials: H
authors.lastname: Maghsoudi
authors.forename: Alireza
authors.initials: A
authors.lastname: Ghaffari
mesh_terms: D000328:Adult; D000368:Aged; D000369:Aged, 80 and over; D057868:Anastomotic Leak / Q000209:etiology / Q000473:pathology / Q000601:surgery*; D015331:Cohort Studies; D005260:Female; D006801:Humans; D008297:Male; D008875:Middle Aged; D009852:Omentum / Q000601:surgery*; D010439:Peptic Ulcer Perforation / Q000209:etiology / Q000473:pathology / Q000601:surgery*; D010538:Peritonitis / Q000209:etiology* / Q000473:pathology / Q000601:surgery*; D012086:Reoperation; D012189:Retrospective Studies; D016896:Treatment Outcome